Automated eligibility verification provides complete benefit details in seconds.

With patients moving in and out of exchange plans and the pervasiveness of Medicare and Medicaid advantage plans, eligibility is no longer just a ‘Yes or No’ question. To prevent denials, your patient access staff needs an efficient way to get true levels of coverage before and after service.

Decrease eligibility-related denials

Using Recondo’s patented ReconBot® technology, EligibilityPlus™ automatically retrieves and combines data from payer portals and electronic eligibility (EDI 270/271) transactions to present the most complete benefit detail available. Accurate coverage is quickly identified from both commercial and government plans, including exchange plans. With EligibilityPlus™, there’s no need to pay a third-party to perform self-pay eligibility checks. Our automated solution verifies pre-and-post service if patients that identify as self-pay qualify for commercial or Medicaid coverage. EligibilityPlus™ seamlessly integrates with most major health information systems, including Epic, Cerner, McKesson, Meditech, Allscripts and Artiva.

Comprehensive coverage

EligibilityPlus verifies eligibility on commercial and government plans, and even supports Medicare DDE eligibility checking.

Intelligent alerting

As an extra measure of protection, we provide intelligent and actionable alerting of denial risk with actionable guidance for your patient access staff.

HIS integration

EligibilityPlus easily works with most of the major health information systems, including Epic, Cerner, McKesson, Meditech, Allscripts and Artiva.

See what our technology can do for you